Individual
GEORGE ODEMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
213 PATTON DR STE C, SHELBY, NC 28150-4674
(704) 487-4440
(704) 487-1511
Mailing address
213 PATTON DRIVE, SUITE C., SHELBY, NC 28150-4696
(704) 487-4440
(704) 487-1511
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255640165
NPPES NPI
NC
01
—
251B00000X
251B00000X TAXONOMY
NC
01
—
251C00000X
251C00000X TAXONOMY
NC
01
—
251S00000X
251S00000X TAXONOMY
NC
Enumeration date
09/09/2009
Last updated
09/12/2025
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